All About Dignity

News for and From our Grads

Medicaid name change

As of June 27 2016 the new name for Medicaid is Health First. Please take the time to tune into this podcast. Great information for our care receiveres and yes Cynthia is one of the hosts.

New Law to help prevent mistreatment (abuse) of at-risk Coloradans

Starting Jan 1 2019 potential staff caregivers will be background checked through the Colorado Adult Protective Services data system (CAPS) before hiring the employee to work directly with an at-risk adult. A statement put out by Colorado Department of Human Services says "Prior to this law, there was no way for an employer to tell if a prospective employee had a proven Adult Protective Services (APS) case of abuse, neglect or exploitation against an at-risk adult. Colorado's at-risk adults include people with with intellectual and developmental disabilities, dementia, brain injury and other conditions that make these adults susceptible to mistreatment. The bill was sponsored by Rep. Susan Lontine and Sens Irene Aguilar and Bob Gardner." 

Dietary guideline changes in 2016

Well its 2016 and the dietary guidelines are already changing. They update every 5 years and are based on evolving nutrition science.  See the two pictures to the right. It is suggested we eat more of whats on the left and less of whats on the right.

They are suggesting we cut our sugar intake to 10 percent or less of our calorie intake. Many of us consume up to 22 teaspoons of sugar daily. For a 2,000 calorie diet 10 percent would be 12 teaspoons. High levels of sugar consumption has been linked to Type 2 diabetes and heart disease even in people who are not overweight or obese.

Much of the guidelines have not changed since 2010.  Things like eating more fruit and vegetables, fiber, whole grains and less salt. They also recommended a "shift away from red meats toward other sources of protein" including nuts, seeds and fish. 

Name change from MSDS to SDS Books

In 2012, the US adopted the 16 section Safety Data Sheet to replace Material Safety Data Sheets. This became effective on December 1, 2013. SDS (Safety Data Sheets) all day programs and facilities have them. A “rule of thumb” is that you know where it is and are able to retrieve or get to it within 5 minutes.

Safety Data Sheet information must be accessible for employees during all shifts. Access to SDS can mean access to paper copies, usually big red binders, or electronic access via the internet. Having SDS websites bookmarked in the company computer is acceptable as long as all employees in the workplace know where to find the SDS and are trained on the use of computers to access SDSs.

So what is a SDS for? It is a book containing information on all the hazardous chemicals being used in the day program or facility you are working in. They have in them the information about the different hazardous chemicals used and how to care for a person that has misused each chemical (even if it was a mistake). These include cleaning chemicals. It will tell you what to do if the particular hazardous chemical is ingested, swallowed, or gets in someone’s eyes. They are much easier to read than the old MSDS was. If "Jane" gets cleaning chemical X in her eyes you can go to the SDS and find out what you should do. HazCom 2012 gives workers a "Right To Understand." The old, confusing Material Safety Data Sheet (MSDS), with a different format from every chemical supplier, is gone. Now you'll see information in a consistent, 16-section Safety Data Sheet (SDS). Labels are simpler, too; every chemical label will have the same six parts, from Product Identifiers to Supplier Information, and each hazard will be identified with a bold, recognizable symbol in a red diamond.

Keep in mind that any accidents involving a chemical will require an SDS being provided to emergency personnel and to the attending physician so proper treatment can be administered. Your supervisor will want to know about these accidents as soon as possible. In the home setting there probably will not be a SDS book.  The (cleaning materials) hazardous chemicals will have instructions on the labels. Above: a SDS sheet            You should also contact your supervisor ASAP if anything is ingested, swallowed, or gets in someone’s eyes that should not be ingested, swallowed, or get into someone’s eyes.

More changes coming to non-medical Homecares

Some non-medical homecares are now employing nurses.Their jobs are varied but one of the things they are doing is checking to be sure you know how to assist clients with their ADLs correctly. If its been a while since you were doing any of the skills we teach I highly recommend you come back for refreshers. If your Certificate has expired take the class again.

Social Security returns to paperThe Social Security Administration will resume sending paper statements to some people.

By Jennie L. Phipps ·

Beginning in September 2014, Social Security will resume sending out personalized benefit statements. These statements used to arrive via snail mail annually but were discontinued in 2011 when the budget was tight.

Social Security hasn't made any official announcements, but its press spokesmen have been telling reporters who ask that the new statements will go out only on key birthdays, in advance of ages 25, 30, 35, 40, 45, 50, 55 and 60 and older, and only to people who aren't receiving Social Security and who haven't registered for a personalized digital Social Security statement.

The Social Security Administration will resume sending paper statements to some people.

Social Security introduced the digital statements about the time it stopped sending paper statements. The agency saved an estimated $70 million annually.

These digital statements are a great retirement planning tool.  If you haven't already done so, set up a personalized account at There you will be able to see all your key Social Security information, including how much you've paid in, how much your employers have contributed, and how much you are eligible to receive as a disability payment for you and your family, as well as how much you will qualify for in retirement benefits at ages 62, your full retirement age, and your maximum benefit at age 70.

Anyone 18 and older can sign up for one of these online accounts. Be prepared to type in your Social Security number, a mailing address and an email address. You'll also be asked some security questions about former employers and addresses. Your answers must match what Social Security or the credit agency Experian has on file. Experian manages Social Security's online security verification process. The questions aren't hard, but they aren't information that you are likely to have in your wallet. That's by design. If you don't get the answers right, you'll have to try again later or go to a Social Security office and verify your identity.

Once you have established the account, you can examine the numbers there or download a PDF of the entire report and stick it in your file cabinet in case you want to take a look in the future without going through the log-in process. Don't worry: Your Social Security number isn't on the PDF.

Read more: 

Mandatory Reporting of Elder Abuse

Each year millions of elderly Americans are abused, neglected, and exploited.  Colorado wants to ensure that law enforcement is made aware of these crimes against persons age 70 and older.  On July 1, 2014, mandatory reporting of elder abuse, neglect, and exploitation will become law. (Section 18-6.5-108, C.R.S.) 

This law requires many professional groups to report abuse, neglect, and exploitation to law enforcement when they observe or become aware of the mistreatment.  The new law also has legal penalties for mandatory reporters if they fail to report mistreatment. 

The Colorado Department of Human Services, Adult Protective Services (Colorado APS) unit has made available an on-line training program for mandatory reporters and other members of the community.  This training will take approximately 30 -40 minutes to complete and persons completing the course will be able to print out their results if they would like to have a record that they completed the course.    

To access the training, click here.  You can also access the training at from the Adult Protective Services, Mandatory Reporting page.

Respectfully, Peggy Rogers, Manager

Colorado Adult Protective Services

Rochelle S. Hayes
Fax:  303.866.2696
State of Colorado, Colorado Department of Human Services
Aging and Adult Services
State Unit on Aging

All About Dignity is now associated with a QMAP class

We now have QMAP classes!!!! If you sign up for the PCW class or have already taken our PCW class you can take the QMAP class at ESM. Our facilitator is Dr. Barbara Joyce. This class is good for 5 years and leads to better pay. Contact Cynthia for more information.

We are happy to announce our Leaders in Dementia Care Recognition

Leaders in Dementia Care is an 8-hour program that meets the Alzheimer's Association requirements for recognition as a Leader in Dementia Care organization.  The ultimate goal of this recognition program is to have employers provide education to professional and para-professional staff on an annual basis.  An educated staff is able understand the mental, physical and emotional changes that come with this disease process and ultimately provide a higher quality of care for their care receivers.  Here is the link to the Alzheimer's Association website that has a good FAQ and General Information:   Please tell your agency about this program. We would love to help them get this recognition for their agency. And See YOU again.

We have a Face book page!

Can you guess what the name is?  Of course its All About Dignity. Join us there to ask questions or summit pictures of loved ones. Sometimes we hear about jobs too. 

The 2016 Yellow Books                                                                                          

Yellow Books are here!  Start looking for them at the library or go to Area Agency on Aging at 14 S. Chestnut St.,  just off Colorado Avenue. They are free and full of helpful information for you and your clients. What do they look like? I dont have a picture of the new ones yet but the old ones look like the picture below by the Happenings.

State regulations for Homecare

As of January 2010 the state of Colorado has put out new regulations for PCPs, now called PCWs, working in homecare. Please contact All About Dignity for your list of what is appropriate for a PCW to do in homecare according to the Dept of Public Health. Please come to a refresher. We will go over it with chapter 3. One significant change is what we are called. In homecare, we are now called PCWs (Personal Care Workers). In other work areas we are still PCPs. Your next Certificate of Completion will have both PCP and PCW on it. Remember to renew every two years.

The other big change is that when we do medication reminders we do NOT help with them at all if they are in the prescription bottles. The Medicaid regulations said we could pour them from the prescription bottles to a bowl to choose what they needed if they could not get them out themselves. Under the new homecare regulations the medications must be pre-dosed. This means the medications must be in a pre-dosed container like a medi-pac or medi-box. Then if need be (if the client can not) we can pour them from the medi-pac into a bowl for them. Please contact your supervisor if your client has their medications in prescription bottles and can not get them out themselves.

There are other smaller but important changes so please get your information as soon as possible so you are up to date

 All About Dignity is now offering CPR training

We now have an American Heart Association facilitator for our students and grads. This class is especially good because it is good for two years. You can renew with us. To sign up for this contact Cynthia.

Compact florescent light bulbs disposal

Compact fluorescent light bulbs sometimes called CFLs, use less energy, produce less air pollution and last longer than standard bulbs. CFLs contain mercury. It’s a very small amount but enough to still require special care when disposing of the used up bulbs. When your CFL burns out, remove the bulb carefully by unscrewing it from the base. Take bulbs to a recycling center or hazardous waste facility, or, if your local regulatory agency permits you to put them in the trash, seal the bulbs in two plastic bags and place in the receptacle.

If you have a broken CFL, you’ll want to take extra precautions:

•Open a window and clear the room of people and pets for at least 15 minutes.
•Wear rubber gloves (you have some of those dont you??) when cleaning up broken parts. Don’t use a broom or dustpan. Instead, clean up with stiff paper or cardboard. You can also use sticky tape to pick up small bits and bulb powder. Wipe the area with a damp paper towel. (To be cautious, vacuum the area after you’ve wiped it down and then dispose of the vacuum bag.) 
•Put all the broken pieces and cleaning materials in two sealable plastic bags. Wash your hands when you’re done.  
•Put the sealed bags with broken CFL debris out with the trash. Otherwise, you may need to take the bulb to your local recycling or hazardous waste disposal.
•Shut off the central forced-air heating/air conditioning system, if you have one.
•Continue to air out the room for several hours after you’ve cleaned up.
The new Federal Dietary Guidelines are out  

Every five years dietary guidelines are updated and 2010 is no exception. Salt is the latest enemy highlighted in the nation's battle against obesity and poor eating habits, with new federal dietary guidelines calling on Americans to dramatically cut sodium (salt) intake, bulk up on fruits and vegetables and drink water instead of sugary beverages (sodas and sweet drinks). They say everyone 51 and older, all African Americans and people with high blood pressure, diabetes or kidney disease -- about half of the American population-- should reduce sodium in their diets by more than half.  Cut the Salt!!There are other changes including the picture of the pyramid see the article below

Alzheimers Association

The Alzheimers Association isn't just for family working for/with loved ones with Alzheimers disease its for all of us and not only Alzheimers disease but all dementias. Alzheimers disease is just one ( the most common ) of the over 70 kinds of dementia. 

To the right are some very basic ideas on communication with folks with any dementia.

Below shows a brief example of a woman with dementia trying to make tea for a few loved ones. becomes 

The governments program mypyramid has changed to myplate showing a plate and sauser with the five food groups. The materials for the General Population section of the website have been updated to reflect the 2010 Dietary Guidelines for Americans and MyPlate.

Time    to renew your Certificates

If you took the class in 2014 it is time to renew your Certificate.  Contact us to set up your time with this class.  Remember the test is only 12.00 and the class refresher is free. 

We have VIDEOS!! We now have some great videos for you to refresh your memory on transfers (on looking for a job page) and nail care and brushing teeth (on the home page). The one below (at the bottom of this page) is about helping in the shower. Our favorite task. LOL!!  Hope these help. 

Pictures help when Doing a

"Life Review"

For more on Life review look at the "One mans story" page and see Jane Fondas Utube

"Jane" askes "What do the new Yellow Books look like?" We dont have a picture of this years book. Sorry!


FWIW:   Forgot Where I Was
GGPBL:    Gotta Go, Pacemaker Battery Low
WTP:    Where's The Prunes
                   THIS WAS THE YEAR   1972
U.S. PRESIDENT & VICE PRESIDENT:    Richard Nixon & Spiro Agnew
New House  $27,600    New Car  $3,853    Gasoline  55 cents a gallon  Movie Ticket  $1.75
Postage Stamp  12 cents
Sugar  65 cents for 5 lbs,    Ground Coffee  99 cents a lbs,     Eggs  45 cents per dozen
NEW HOUSE  $32,500              NEW CAR  $3,950                            GASOLINE  40 cents    STAMPS   8 cents
SUGAR  65 cents              EGGS  45 cents per dozen                             BACON  85 cents     BREAD  28  cents

To the right is a Utube of Teepa Snows Alzheimers Gems. This is an amazing way to look at Dementia and do care for folks that have to deal with this disease.

Below is a short Utube on stand by assists for helping with a shower.